[0001] Virus infections which attack mammals, including man, are normally contagious afflictions
which are capable of causing great human suffering and economic loss. Unfortunately,
the discovery of antiviral compounds is far more complicated and difficult than the
discovery of antibacterial and antifungal agents. This is due in part, to the close
structural similarity of viruses and the structure of certain essential cellular components
such as ribonucleic and deoxyribonucleic acids. Nevertheless, numerous non-viral "antiviral
agents", i.e. substances "which can produce either a protective or therapeutic effect
to the clear detectable advantage of the virus infected host, or any material that
can significantly enhance antibody formation, improve antibody activity, improve non-specific
resistance, speed convalescence or depress symptoms" [Herrmann et al., Proc. Soc.
Exptl. Biol. Med., 103, 625 (1960)], have been described in the literature. The list
of reported antiviral agents includes, to name a few, interferon and synthetic materials
such as amantadine hydrochloride, pyrimidines, biguanides, guanidine, pteridines and
methasazone. Because of the rather narrow range of viral infections that can be treated
by each of the antiviral agents commercially available at the present time, new synthetic
antiviral agents are always welcomed as potentially valuable additions to medical
technology.
[0002] The cells of mammals produce, in response to virus infection, a substance which enables
cells to resist the multiplication of a variety of viruses. The viral-resisting or
viral-interfering substances are referred to as "interferons". The interferons are
glycoproteins which may differ in their physicochemical properties, but all exhibit
the same biological properties; namely they inhibit a wide range of unrelated viruses,
have no toxic or other deleterious effects on cells, and are species-specific (Lockart,
Frontiers of Biology, Vol. 2, "Interferons", edited by Finter, W. B. Saunders Co.,
Philadelphia, 1966, pages 19-20).
[0003] No practical, economical method has yet been developed for the preparation of exogenous
interferon for routine clinical use against viral infections. An alternative approach
to producing interferon has, therefore, been pursued, which comprises administering
a non-viral substance which stimulates or induces production of interferon in the
cells. The interferon produced in this fashion is referred to as "endogenous" interferon.
[0004] Several types of polyamines are known to stimulate interferon production and hence
have antiviral activity. They include the polyamines disclosed in U.S. 3,872,171,
the xylenediamines disclosed in U.S. 4,034,040, and the phenethanolamine substituted,
glycerin-based lipids disclosed in U.K. Application No. 2,005,248 published 19th May,
1979. Other related phenethanolamine substituted, glycerin-based lipids not having
antiviral activity are disclosed in U.K. Application No. 2,021,580 published 5th December,
1979.
[0005] According to the invention, there are provided certain N,N-disubstituted aminomethylphenylethanolamines
and their pharmacologically acceptable acid addition salts which are capable of combatting
viral infections in mammals by stimulating or inducing the production of endogenous
interferon. The structural formula of the aminomethylphenylethanolamines is:

wherein
R' is hydrogen or alkyl having from 1 to 4 carbon atoms, R2 and R3 are the same or different, each being n-alkyl of from 12 to 20 carbon atoms, and
the benzene ring is metal or para-disubstituted.
A preferred embodiment of the invention is an aminomethylphenylethanolamine wherein
R2 and R3 are the same. This type of amine group substitution facilitates synthesis as a result
of the commercial availability of the corresponding starting material amine, R2R3NH.
Other preferred embodiments of the invention are the two aminomethylphenylethanolamines
wherein R2 and R3 are each n-tetradecyl and wherein R2 and R3 are each n-hexadecyl. These substitutions tend to optimize the anti-viral activity.
[0006] Especially preferred embodiments of the invention include the aminomethylphenylethanolamine
wherein R' is hydrogen, the benzene ring is meta-disubstituted and R
2 and R
3 are each n-hexadecyl; the aminomethylphenylethanolamine wherein R' is ethyl, the
benzene ring is meta-disubstituted and R
2 and R
3 are each n-hexadecyl; the aminomethylphenylethanolamine wherein R' is isopropyl the
benzene ring is meta-disubstituted and R
2 and R
3 are each n-hexadecyl; and the aminomethylphenylethanolamine wherein R' is t-butyl,
the benzene ring is meta-disubstituted and R
2 and R
3 are each n-hexadecyl. Their biological activities in the antiviral and other tests
described infra make them outstanding examples of the present invention.
[0007] The invention also includes a pharmaceutical formulation of an N,N-disubstituted
aminomethylphenylethanolamine of the invention or its pharmacologically acceptable
salt. The pharmaceutical formulation is useful for the treatment of an interferon
sensitive viral infection in a mammal and comprises an antivirally effective amount
of an aminomethylphenylethanolamine or its salt and a pharmaceutically acceptable
carrier. The method of treating an interferon sensitive viral infection in a mammal
comprises administering to the host an antivirally effective amount of an aminomethylphenylethanolamine
or its salt and the method of inducing the production of interferon in a mammal comprises
administering an effective amount of an aminomethylphenethanolamine or its salt.
[0008] In accordance with the invention an aminomethylphenylethanolamine of formula I is
prepared, as illustrated in Scheme A, infra, by an amination reaction of an epoxide
of formula II using an amine of formula R
1NH
z.

[0009] In general, the amination reaction procedure follows methods well known in the art
and any may be employed with success. In usual practice, the reaction may be conducted
neat, in an excess of R
INH
2 at a temperature range of from about 30° to 130° under sealed vessel conditions until
the reaction is substantially complete. As a common alternative, the reaction may
be conducted in a polar, protic or aprotic solvent at a temperature from about 30°
to reflux until the reaction is substantially complete. Useful polar solvents include
dimethylformamide, dimethylacetamide, dimethylsulfoxide, dioxane, chloroform, methanol,
ethanol and the like. When using a polar, protic solvent it is advantageous to use
an excess of the amine R'NH
2. Under any procedure, a stoichiometric ratio of expoxide to amine should be used
and an excess of the amine will usually provide a favorable yield.
[0010] Workup and isolation of the aminomethylphenylethanolamine can be accomplished in
any manner known to those in the art. In general, chromatographic, extraction, distillation
and recrystallization techniques can be used with success. In usual practice, excess
solvent and amine may be removed using ordinary techniques, followed by chromatography
of the aminomethylphenylethanolamine. Alternatively, or in addition, the aminomethylphenylethanolamine
may be dissolved in a suitable solvent, converted to its hydrochloride salt and recrystallized
using ordinary techniques.
[0011] Preparation of the epoxide of formula II, in turn, follows methods well known in
the art. The synthetic sequence is illustrated by reactions (1), (2) and (3) of Scheme
A infra and may be described as follows.
[0012] Reaction (1): An alpha halo meta or para tolunitrile of formula III is reacted with
a disubstituted amine of formula HNR
zR
3 in polar, aprotic solvent while optionally using a suitable hydrogen halide neutralizing
agent, to form an N,N-disubstituted aminomethylbenzonitrile of formula IV.
[0013] Reaction (2): The benzonitrile of formula IV is then partially reduced and hydrolyzed
to form an N,N-disubstituted aminomethylbenzaldeliyde of formula V. Appropriate reducing
agents include hydrogen and nickel catalyst using hydrazine followed by aqueous sulfuric
acid; nickel-aluminum amalgam, formic acid and water; lithium triethoxy-aluminum hydride;
sodium triethoxyaluminum hydride; stannous chloride and hydrogen chloride followed
by water; and diisobutylaluminum hydride. A preferred reducing agent is diisobutyl
aluminum hydride. Use of these reducing agents is well known in the art. Reduction
by any of these methods will produce in situ the intermediate Schiff base which is
then hydrolyzed to the benzaldehyde of formula V by water present in the reaction
mixture or by addition of water to the reaction after reduction is complete.
[0014] Reaction (3): The epoxide of formula II is prepared from the benzaldehyde of formula
V by reaction with the sulfur ylide, dimethyloxosulfonium methylide, or other appropriate
sulfur ylide in a suitable solvent such as ether, tetrahydrofuran, glyme, diglyme,
dioxane and the like. This method is well-known in the art.
[0015] The three steps described constitute the preparatory method for the epoxide of formula
II and together with the amination reaction described supra constitute the entire
synthesis of an aminomethyl phenyl ethanolamine of formula I as given by Scheme A.

[0016] It will be appreociated that the N,N-disubstituted aminomethylphenylethanolamines
of the invention may also be synthesized using other routes and techniques that are
thoroughly familiar to those skilled in the art.
[0017] Pharmacologically acceptable acid addition salts of the aminomethylphenylethanolamines
of this invention may be formed by methods known to those familiar with the art. Suitable
mineral acids appropriate for the salt formation include, but are not limited to,
hydrochloric hydrobromic, hydroiodic, sulfuric and phosphoric acid and the like. Suitable
organic acids appropriate for salt formation include, but are not limited to, tartaric,
citric, glycolic, propionic, butyric, succinic, maleic gluconic, lauric, malonic,
fumaric, stearic, lactic, palmoic, isobutyric, benzoic, and tosic acids and the like.
[0018] The novel aminomethylphenylethanolamines of this invention and the pharmacologically
acceptable salts thereof are effective in treating viral infections by stimulating
or inducing the production of endogenous interferon and in stimulating cellular mediated
immune response. Examples 5, 6 and 7 illustrate the achievement of these effects and
are standard biological tests to determine (a) prophylatic ability to protect against
encephalomyocarditis (EMC) virus, (b) ability to promote rejection of Sarcoma 180J
tumor cells and (c) ability to non-specifically stimulate peritoneal macrophages.
[0019] The novel aminomethylphenylethanolamines of this invention can be used in a variety
of pharmaceutical formulations which contain the compound or a pharmacologically acceptable
salt thereof, and may be administered by a variety of conventional routes, such as
intravenous, intramuscular, subcutaneous, intranasal, topical and intraperitoneal.
[0020] The aminomethylphenylethanolamines or their pharmacologically acceptable salts may
be administered alone or in combination as a pharmaceutical formulation using pharmaceutically
acceptable carrier material such as inert solid diluents, aqueous solutions or various
non-toxic, organic solvents in dosage forms such as gelatin capsules, tablets, powders,
lozenges, syrups, injectable solutions and the like. Such formulation material may
include water, ethanol, gelatins, lactose, starches, vegetable oils, petroleum jelly,
gums, glycols, talc, benzyl alcohols and other known carriers for medicaments. If
desired, these pharmaceutical formulations may also contain auxiliary material such
as preserving agents, wetting agents, stabilizing agents, lubricating agents, absorption
agents, buffering agents and isotonic agents and the like.
[0021] Although the particular dose, formulation and route of administration are dependent
upon each patient's unique condition and the wisdom of his attending physician, the
guidelines set forth infra for the aminomethylphenylethanolamines of this invention
and the pharmacologically acceptable salts thereof describe their usefulness as antiviral
agents and as agents for non-specific stimulation of cell mediated immunity.
[0022] Generally, when used as an antiviral agent through the mediation of induced, endogenous
interferon, administration before exposure to an infectious virus will provide rapid
resistance to the virus. Preferably, administration should take place from about two
days to about one day before exposure to the virus, although this will vary somewhat
with the particular patient and the particular infectious virus.
[0023] For prophylatic use against viral infection, the aminomethylphenylethanolamines of
this invention may be administered by any of the routes mentioned supra in the appropriate
pharmaceutical formulation containing a dose of about 1 mg./kg. to about 250 mg./kg.
of aminomethylphenylethanolamine with about 1 to 4 doses per day being employed. The
preferred range of the dose of aminomethylphenylethanolamine to be used is about 5
mg./kg. to about 50 mg./kg. Administration of a pharmacologically acceptable salt
of the invention will follow the same procedure with a corresponding adjustment of
the dose given.
[0024] Generally, when used to stimulate cell mediated immunity, suitable pharmaceutical
formulations containing small doses of the aminomethylphenylethanolamines of this
invention will be administered initially and may be increased gradually to determine
the optimum dosage for the particular patient. His or her immune competence will generally
be monitored following administration, using conventional techniques employed in the
art, such as the macrophage activation assay described hereinafter. Typically, maximum
activation will be observed about 24 to 48 hours after the initial administration
and, absent administration of further doses, will decline to the initial level over
a further 24 to 48 hour period. Thus, administration of a second dose approximately
24 to 72 hours after the initial administration will maintain the desired level of
immune competence. Generally, 2 to 4 doses will be administered in this manner and
the response to treatment of the patient determined. Further doses may then be administered
if necessary, as described above. Administration of a pharmacologically acceptable
salt of the invention will follow the same procedure.
[0025] The present invention is illustrated by the following examples. It should be understood,
however, that the invention is not limited to the specific details of these examples.
All temperatures are in degrees centigrade and if not specified, are ambient temperature.
Example 1
Preparation of N-ethyl-2-[meta-N,N-di-n-hexadecylaminomethylphenyl]ethanolamine (1-I)
[0026] The following procedure gives the entire synthetic sequence used to prepare the title
compound (1-1) as a hydrochloride salt and follows the sequence outlined in Scheme
A supra.
[0027] 3-(N,N-Di-n-hexadecylaminomethyl)benzonitrile (1-IV) a-Bromo-m-tolunitrile (1-111)
(3.9 g, 0.02 mol), di-n-hexadecylamine (9.3 g, 0.02 mol), and potassium carbonate
(27.6 g 0.2 mol) were combined in dimethylacetamide (93 ml) and heated (80-90°; 1.5
hr). The mixture was then poured over ice, stirred cold (15 min), and filtered. The
resulting solids were washed with water, dissolved in hexane (70 ml), and filtered.
The hexane solution of product was dried over sodium sulfate, filtered and concentrated
to an oil under reduced pressure. The oil was dissolved in isopropyl alcohol, cooled
in an ice water bath, and the resulting crystals isolated and dried to give benzonitrile
1-IV (7.2 g, 62% yield): mp 26-27°; ir (CHCI,) 2225 cm
-1.
[0028] 3-(N,N-Di-N-hexadecylaminomethyl)benzaldehyde (1-V) 3-(N,N-Di-n-hexadecyl-aminomethyl)-benzonitrile
(1-IV) (40 g, 0.069 mole) was dissolved in hexane (300 ml) and treated with 0.807
M diisobutylaluminum hydride (60 ml, 0.048 mol) at room temperature under a nitrogen
atmosphere. The resulting solution was stirred (4 hr) and then worked up by adding
methanol (25 ml) and water (15 ml). This mixture was then filtered and concentrated
under reduced pressure to give an oil, which was further purified by silica gel column
chromatography (eluted with a benzene/ethanol gradient mixture) to give the pure aldehyde
(1-V): oil; ir (neat) 1690 cm
-1.
[0029] N,N-Di-n-hexadecyl 3-(1,2-epoxyethylJbenzylamine (1-II) Sodium hydride (12.12 g of
a 57% dispersion in mineral oil, 0.288 mol) was added to dimethylsulfoxide (350 ml)
and the mixture heated (70-80°C) under a nitrogen atmosphere for 45 min. The resulting
solution was then diluted with tetrahydrofuran (350 ml), cooled to 0-5°C, and treated
with portions of trimethylsulfonium iodide (50.8 g, 0.288 mol) over a 5 min period.
3-(N,N-Di-n-hexadecylaminomethyl)benzaldehyde (1-V) (48 g, 0.0872 mol) dissolved in
tetrahydrofuran (100 ml) was then added rapidly and the reaction mixture was allowed
to stir for 16 hr. The resulting mixture was poured into water (800 ml) and extracted
with ether (3 x 250 ml). The combined ether extracts were washed with water (3 x 350
ml) and saturated sodium chloride solution (350 ml), dried over magnesium sulfate,
filtered, and concentrated under reduced pressure to give the desired epoxide (1-11):
oil (51 g, 98% yield); NMR (CDCI,) 8 2.82 (d of d, 1 H), 3.17 (d of d, 1 H), 3.90
(d of d, 1 H).
[0030] N-ethyl-2-(meta-N,N-di-n-hexadecylaminomethylphenyl)ethanolamine (1-1) as a hydrochloride
salt. A mixture of N,N-di-n-hexadecyl-3-(1,2-epoxyethyl)benzylamine (1-11) (3.7 g,
0.0062 mol) and ethylamine (27.6 g, 0.61 mol) was placed in a steel bomb and heated
at 90°C for 8 hr (75 psi). The reaction mixture was then concentrated under reduced
pressure and the resulting oil purified by silica gel chromatography (eluted with
a benzene/ethanol gradient mixture). The desired amine 1-I was converted to the hydrochloride
salt by passing hydrogen chloride through a solution of it in ethyl acetate followed
by recrystallization from the same solvent (0.4 g, 10% yield): mp 89-90°C (HCI salt);
NMR(CDCI
3) 8 1.48 (t, 3H).
[0031]

Example 2
N-t-butyl-2-(meta-N,N-di-n-hexadecylaminomethylphenyl]ethanolamine (2-1)
[0032] Following the procedure of Example 1 and substituting t-butyl amine for ethyl amine
in the amination reaction converting (1-11) to (1-t), the title compound (2-1) as
a hydrochloride salt was prepared. m.p. 114-116° (HCI salt).

Example 3
N-isopropyl-2-[meta-N,N-di-n-hexadecylaminomethylphenyl]ethanolamine (3-1)
[0033] Following the procedure of Example 1 and substituting isopropyl amine for ethylamine
in the amination reaction converting (1-11) to (1-1), the title compound (3-1) as
a hydrochloride salt was prepared. m.p. 107-109° (HCI salt).

Example 4
22-[meta-N,N-di-n-hexadecylaminomethylphenyl]ethanolamine (4-1)
[0034] Following the procedure of Example 1, epoxide (1-11) was prepared. It was used in
the procedure infra to prepare the title compound (4-1) as a hydrochloride salt.
[0035] A solution of N,N-di-n-hexadecyl-3-(1,2-epoxyethyl)-benzylamine (1-11) (3.3 g, 5.5
mmol) and sodium azide (1.5 g, 23 mmole) in 80 ml of dioxane was stirred, heated to
reflux for about 16 hrs. The solvent was then removed in vacuo and the resulting crude
residue purified by silica gel chromatography (eluted with benzene/ethanol gradient
mixture). The desired intermediate azide was isolated (1.5 g oil) and was reduced
with lithium aluminum hydride (0.71 g.) in ether to give the desired amine. It was
converted to the hydrochloride salt by passing hydrogen chloride through a solution
of it and ethyl acetate followed by recrystallization from the same solvent to yield
the title compound (4-1) as a hydrochloride salt (0.5 g) (mp 90-92°1.
[0036]

[0037] Examples 1-4 demonstrate that the other N,N-disubstituted aminomethylphenylethanolamines
of the invention can be prepared by substituting the appropriate amine HNR
2R
3 for di-n-hexadecylamine of the Example 1 conversion step (1-III) to (1-IV) and by
substituting the appropriate amine R
1NH
2 for ethyl amine of the Example 1 conversion step (1-11) to (1-1) or by forming the
primary amine according to the procedure of Example 4.
Example 5
Prophylactic use of compounds (1-I), (2-1) and (3-1) against infection by encephalomyocarditis
viral infection in mice
[0038] Three groups of ten female albino mice (20-25 g. body weight) were given single 0.5
ml. intraperitoneal injections containing dosage levels of 1.5, 5, and 15 mg. of the
appropriate compound/kg. body weight, respectively. A fourth control group was given
no such injection. Eighteen to twenty-four hours later all four groups were challenged
with a 0.2 ml. subcutaneous injection containing 20-30 times the LD
50, the dosage level causing a 50% death rate in ten days, of encephalomyocarditis (EMC)
virus. The following relative average survival rates were found from an average of
2 such runs for compounds 1-1, 2-I and 3-1.
Average Relative Survival (Sr)
[0039]

[0040] Antiviral activity is expressed as the average relative survival (Sr) of 2 runs of
experimental groups compared to the controls on the tenth day after challenge. Sr
is defined by the formula

wherein
Sr = relative survival;
Sx = percent survival after ten days in experimental group;
Xi = number of survivors on the ith day in experimental group;
e, = number of survivors on the ith day in control group.
Example 6
Sarcoma 180J Model for Assessment of Tumor Rejection
[0041] Six female CD-1 mice (20-25 g) per group received 10
6 S-180J cells (5-8 days old) intraperitoneally (i.p.) on day 0. The animals then received
formulated drug (0.1 ml) at the desired dose on day 1 following tumor cell injection.
The animals were observed until death or 40 days, whichever occurred first. Results
using compounds 1―I, 2―I, 31 and 41 are expressed as percent life span (%ILS).
(a) compounds were formulated in TWEEN 80/glycerol aqueous suspensions. The word "Tween"
is a trade mark.
(b) Numbers in parenthesis are numbers of 40 days survivors.
Example 7
Peritoneal Exudate Cell Mediated Cytotoxicity in Vitro
[0042] Peritoneal exudate cells (PEC) from normal mice injected with immune potentiators
or drug vehicle were harvested by gentle lavage with 3 ml cold RPMI 1640 medium (Grand
Island Biological Co., N.Y.) supplemented with 5 units of heparin per ml of medium.
Macrophages were identified morphologically, counted, and adjusted to 7.5 x 10
5 cells per ml of tissue culture medium; 0.2 ml volumes were added to microtiter wells
containing 10
4 B-16 cells with
125IUDR label (effector: target cell ratio = 15:1). After 24 hours at 37° 5% CO
2, supernatants were decanted and the adherent cells washed 3 times with pre-warmed
RPMI 1640; the supernatant and washings were pooled and retained for counting. The
adherent cells were treated with 1% sodium dodecyl sulfate (SDS) at room temperature
for 30 minutes. The SDS-treated cells were harvested and the cells washed 3 times
with RPMI 1640; cells and washings were pooled for counting. Supernatants and cells
were counted in a Searle 1185 gamma counter. The name "Searle" is a trade mark. Results
were expressed as:

[0043] The table below gives the percent cytotoxicity for 1-1, 2-1 and 3-1 wherein Percent
Cytotoxicity equals (Percent release from drug-treated) minus (Percent release from
vehicle treated).
